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Claims Processor Jobs in Buffalo, NY (NOW HIRING)

Serve as the primary point of contact for injured workers, employers, medical providers, and other stakeholders, providing clear and professional communication throughout the claims process.

Serve as the primary point of contact for injured workers, employers, medical providers, and other stakeholders, providing clear and professional communication throughout the claims process.

Claims Business Analyst

Buffalo, NY · On-site

$100 - $125/hr

As a Claims Business Analyst, you will be responsible for triaging operational issues and leading ... Function as a liaison between business and technical resources to ensure people, processes, and ...

Claims Business Analyst

Buffalo, NY · Remote

$80K - $100K/yr

As a Claims Business Analyst, you will be responsible for triaging operational issues and leading ... Function as a liaison between business and technical resources to ensure people, processes, and ...

The Litigation Adjuster will become part of a dedicated team focusing on auto and premises liability claims, which includes New York Labor Law, construction defect and/or third-party property damage ...

ESIS Claims Team Leader, WC Position Summary The ESIS Claims Team Leader leads a team of claims professionals to support high-quality claim handling, strong technical file management, effective ...

ESIS Claims Team Leader, WC Position Summary The ESIS Claims Team Leader leads a team of claims professionals to support high-quality claim handling, strong technical file management, effective ...

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Claims Processor information

See Buffalo, NY salary details

$11

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How much do claims processor jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for claims processor in Buffalo, NY is $18.56, according to ZipRecruiter salary data. Most workers in this role earn between $15.82 and $20.05 per hour, depending on experience, location, and employer.

What is a claims processor?

A claims processor reviews insurance claims. Their responsibilities include verifying insurance policy coverage and making sure client information is accurate. After they determine there is a covered loss, a processor documents the information and makes sure all the required paperwork is complete. Other duties include modifying new or existing policies.

What does a claims processor do?

A Claims Processor is responsible for reviewing, evaluating, and processing insurance claims submitted by policyholders. They verify the accuracy of the information provided, ensure all required documentation is present, and determine if the claim meets the policy's terms and conditions. Claims Processors work with both customers and insurance adjusters to resolve any discrepancies and help facilitate timely payments. Their role is essential in ensuring that claims are handled efficiently and fairly.

What are the key skills and qualifications needed to thrive as a claims processor?

To thrive as a Claims Processor, you need strong analytical abilities, attention to detail, and knowledge of insurance policies, typically supported by a high school diploma or associate degree. Familiarity with claims management software, data entry systems, and sometimes industry certifications like AIC (Associate in Claims) is valuable. Excellent organization, communication, and customer service skills help you efficiently resolve claims and interact with clients. These competencies ensure accuracy, minimize errors, and maintain trust in the claims process.

What are some common challenges faced by claims processors, and how can they be managed effectively?

Claims Processors often encounter challenges such as managing high volumes of claims, handling complex or incomplete documentation, and meeting strict accuracy and timeliness standards. To navigate these, strong organizational skills, effective communication with colleagues and claimants, and attention to detail are crucial. Utilizing workflow management tools and maintaining open channels with supervisors and other departments can help address issues quickly and ensure claims are processed efficiently. Regular training and staying updated on policy changes also support success in this role.

What is the difference between Claims Processor vs Claims Examiner?

AspectClaims ProcessorClaims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require certificationHigh school diploma; certification often preferred
Work EnvironmentOffice setting, processing claims efficientlyOffice setting, reviewing and approving claims
Employer & Industry UsageInsurance companies, healthcare providersInsurance companies, government agencies
Common Search & ComparisonClaims Processor vs Claims Examiner

Claims Processors primarily handle the data entry and initial processing of insurance claims, focusing on accuracy and efficiency. Claims Examiners review claims for validity, compliance, and coverage before approval. While both roles work within the insurance industry and require similar credentials, Claims Examiners typically perform more detailed reviews and decision-making tasks. Understanding these differences helps job seekers identify the right role based on their skills and career goals.

Do you need a degree to be a claims processor?

A degree is not typically required to become a claims processor, as most employers prioritize relevant skills such as attention to detail, communication, and familiarity with claims processing software. Many positions accept candidates with a high school diploma or equivalent, and on-the-job training is often provided. Certifications in claims or insurance can enhance job prospects but are not mandatory.

Is claims processing a stressful job?

Claims processing is often considered a routine administrative role that requires attention to detail and organizational skills. While it can involve handling high volumes of claims and meeting deadlines, stress levels vary depending on workload, workplace environment, and individual resilience. Proper training and time management can help mitigate stress in this job.

What are the most commonly searched types of Claims Processor jobs in Buffalo, NY?

The most popular types of Claims Processor jobs in Buffalo, NY are:

What are popular job titles related to Claims Processor jobs in Buffalo, NY?

For Claims Processor jobs in Buffalo, NY, the most frequently searched job titles are:

What cities near Buffalo, NY are hiring for Claims Processor jobs?

Cities near Buffalo, NY with the most Claims Processor job openings:

Infographic showing various Claims Processor job openings in Buffalo, NY as of August 2026, with employment types broken down into 1% Internship, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 79% Physical, 5% Hybrid, and 16% Remote job distribution, with an average salary of $38,614 per year, or $18.6 per hour.

ESIS Claims Representative, WC

Chubb

Cheektowaga, NY

$62K - $83K/yr

Full-time

Posted 14 days ago


Chubb rating

8.2

Company rating: 8.2 out of 10

Based on 67 frontline employees who took The Breakroom Quiz

148th of 315 rated insurance


Job description

ESIS Claims Representative, WC

Under direct supervision initially, performs customer service and claims functions while training to become a claims representative. Gains exposure to all facets of a professional claims representative role through classroom and hands-on learning. As training progresses, will be assigned a caseload.

Duties may include, but are not limited to:

  • Claims Management: Investigate, evaluate, and manage workers' compensation claims from inception to resolution, ensuring compliance with applicable laws, regulations, and company policies.
  • Communication: Serve as the primary point of contact for injured workers, employers, medical providers, and other stakeholders, providing clear and professional communication throughout the claims process.
  • Investigation: Conduct thorough investigations of claims, including gathering statements, reviewing medical records, and analyzing accident reports to determine compensability and liability.
  • Decision-Making: Make timely and accurate decisions regarding claim acceptance, denial, or settlement based on the facts of the case and applicable laws.
  • Documentation: Maintain detailed and organized claim files, documenting all activities, communications, and decisions in the claims management system.
  • Cost Control: Monitor and manage claim costs, including medical expenses, indemnity payments, and legal fees, while ensuring appropriate reserves are established and maintained.
  • Compliance: Ensure adherence to state-specific workers' compensation laws, regulations, and reporting requirements.
  • Customer Service: Provide exceptional service to clients by addressing inquiries, resolving issues, and delivering timely updates on claim status.
  • Collaboration: Work closely with internal teams, including legal, medical, and risk management professionals, to achieve optimal claim outcomes.
Chubb is a world leader in insurance. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance, and life insurance to a diverse group of clients. The company is distinguished by its extensive product and service offerings, broad distribution capabilities, exceptional financial strength, underwriting excellence, superior claims handling expertise and local operations globally.

At Chubb, we are committed to equal employment opportunity and compliance with all laws and regulations pertaining to it. Our policy is to provide employment, training, compensation, promotion, and other conditions or opportunities of employment, without regard to race, color, religious creed, sex, gender, gender identity, gender expression, sexual orientation, marital status, national origin, ancestry, mental and physical disability, medical condition, genetic information, military and veteran status, age, and pregnancy or any other characteristic protected by law. Performance and qualifications are the only basis upon which we hire, assign, promote, compensate, develop and retain employees. Chubb prohibits all unlawful discrimination, harassment and retaliation against any individual who reports discrimination or harassment.

Experience & Education

  • Minimum of 2 years of experience handling workers' compensation claims
  • Experience with ESIS or a similar third-party administrator is preferred
  • Bachelor's degree or equivalent experience

Preferred Knowledge and Skills

  • Strong knowledge of workers' compensation laws, medical terminology, and claims handling best practices
  • Proficiency in claims management systems and Microsoft Office Suite
  • Excellent written and verbal communication skills, including the ability to communicate effectively with external investigative sources and insureds by phone
  • Strong teamwork skills, with the ability to give and receive constructive feedback and identify growth opportunities
  • Strong analytical and problem-solving abilities
  • Ability to manage multiple priorities and meet deadlines in a fast-paced environment
  • Strong customer service focus and a proactive approach to supporting customer needs
  • Sound judgment and decision-making skills, with the ability to support and defend decisions
  • Commitment to high standards of performance and professionalism
  • Flexibility to adapt approach and behavior to different situations
  • Ability to represent Chubb and ESIS positively

Licensing Requirement

  • An applicable resident or designated home state adjuster's license is required for ESIS Field Claims Adjusters
  • Candidates who do not meet the licensing requirement will not meet ESIS employment requirements for handling claims
  • ESIS supports independent self-study time and allows up to 4 months to pass the adjuster licensing exam

The pay range for the role is $62,700 to $83,000. The specific offer will depend on an applicant's skills and other factors. This role may also be eligible to participate in a discretionary annual incentive program.  Chubb offers a comprehensive benefits package, more details on which can be found on our careers website.  The disclosed pay range estimate may be adjusted for the applicable geographic differential for the location in which the position is filled.


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About Chubb

Sourced by ZipRecruiter

Chubb is the world's largest publicly traded property and casualty insurer. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance and life insurance to a diverse group of clients. We are a unique global organization with a culture of individuals passionately committed to our respective crafts. With underwriting at our core, each of us contributes to providing the best insurance coverage and service to our clients. Our highly collaborative, inclusive nature helps us drive better business outcomes through diversity of background, experiences, insights and values.

Industry

Insurance services

Company size

10,000+ Employees

Headquarters location

Warren, NJ, US